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The Cr is 6.4. Would you accept this kidney?

A clinical case study addressing whether to accept a high-risk kidney from a donor with severe acute kidney injury and dialysis dependence. Through this scenario, the text emphasizes that donor dialysis does not automatically signal permanent organ failure and that biopsy findings must be interpreted cautiously alongside perfusion trends. Experts recommend conditional acceptance by carefully balancing acute versus chronic damage against the recipient's health status and dialysis history. Ultimately, the guidance urges surgeons to rely on comprehensive clinical judgment rather than isolated…

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